Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Edward A. Mena, M.D., INC

Edward A. Mena, M.D., INC was paid $271K by Medicaid between Jan 2018 and Nov 2024, across 6 billing codes. Its largest line is 91200, — 29% of everything it billed.

33Billing provider infoEDWARD A. MENA, M.D., INC
PASADENA, CA 91105
33aNPI1811032550assigned 02/20/2007
33bProvider typeHepatology Physician
28Total paid$271K
24GClaims9,507
24DCodes billed6
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Hepatology Physician providers in California

Rank by total paid#4 of 9
Median peer was paid$164K
This provider vs. median1.7×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$5.0K$10K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2018931$14K
20191,421$31K
20201,242$27K
20211,203$29K
20221,552$63K
20231,437$47K
2024incomplete1,721$59K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
91200 29% 1,373 1,368 $79K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 23% 4,194 4,130 $61K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 16% 1,662 1,638 $43K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 16% 1,457 1,455 $43K
76981 12% 537 537 $32K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 4.8% 284 284 $13K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialMENA, EDWARD (PRESIDENT)